集束化护理在我国老年患者压疮护理中应用效果的Meta分析  

Effects of bundles nursing on pressure ulcer nursing intervention of elderly patients in China：a Meta-analysis

作　　者：蒋家翔 苗秀欣[1] 王丹丹[1] 刘海燕[1] 

机构地区：[1]青岛大学护理学院,266000

出　　处：《中华现代护理杂志》2017年第30期3831-3838,共8页Chinese Journal of Modern Nursing

摘　　要：目的 采用Meta分析评价集束化护理在我国老年患者压疮护理干预中的应用效果.方法 计算机检索中国生物医学文献服务系统（SinoMed）、维普数据库（VIP）、CNKI、万方数据库关于集束化护理在老年患者压疮护理干预中应用效果的临床对照试验,配合手工检索相关期刊,2名研究者独立检索文献、筛选文献、资料提取、评价纳入文献的方法学质量,双方核对讨论后,采用RevMan 5.3软件进行Meta分析.结果 共纳入29篇文献, 样本量3020例.Meta分析结果显示,与普通护理干预相比,集束化护理干预可以提高老年患者压疮治疗的有效率[RR=1.26,95%CI （1.22,1.31）],增加护理满意度[RR=1.18,95%CI （1.12,1.25）],差异均具有统计学意义（P〈0.05）.结论 集束化护理可以提高老年患者压疮治疗的有效率,增加护理满意度,建议临床推广.Objective To systematically review the application effects of bundles nursing on pressure ulcer nursing intervention of elderly patients. Methods Clinical control trails of the application effect of bundles nursing on pressure ulcer nursing of elderly patients were searched using computer in cooperation with manual retrieval from SinoMed,VIP,CNKI,and WanFang database. Two reviewers independently searched and extracted data, screened captured citations,and assessed methodological quality of all included studies. RevMan 5.3 software was used for Meta-analysis. Results Twenty-nine literatures were included for systematic review with 3 020 cases. Meta-analysis showed that,bundles nursing significantly increased the effective rate of pressure ulcer treatment of elderly patients [RR=1.26,95%CI （1.22,1.31）],and improved the degree of nursing satisfaction [RR=1.18, 95%CI （1.12,1.25）] when compared with the usual care group. The differences were statistically significant （P〈 0.05）. Conclusions Bundles nursing can significantly increase the effective rate of pressure ulcer treatment of elderly patients,and improve the nursing satisfaction,so it is worthy of promotion.

关 键 词：压力性溃疡 老年患者 集束化护理 META分析 

分 类 号：R472[医药卫生—护理学]